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8 <br /> FILED <br /> °,,ryf� SEP 12 2017 <br /> _«.�x�'� <br /> 17, krt,A <br /> '"'''2 ORANGE COUNTY TAX ADMINISTRATION <br /> �b cao <br /> Request for Approval of <br /> Property Tax Exemption, Exclusion or Deferral <br /> Due to Showing of Good Cause for Failure to Make a Timely Application <br /> Date: / 1 l <br /> To Whom It May Concern: <br /> I,(PRINT NAME) Doiio( K LIM <br /> wish to be considered for Property Tax Exemption,Exclusion or Deferral for the tax year q�(1//,,/7 <br /> on Tax Abstract or Parcel Identification Number(s)(PIN)# <br /> q174L905,%r <br /> In accordance with North Carolina General Statute 105-282.1(al),I submit the reason(s)set forth below for <br /> consideration as demonstration of good cause for failure to make a timely application. An untimely <br /> application approved under G.S. 105-282.1 (al)applies only to the property taxes levied by the county or <br /> municipality in the calendar year in which the untimely application is filed. If additional space for <br /> explanation is needed,please submit an attachment with this request. <br /> Please explain: 6 <br /> ■AfctS avlzre #a11-415 o)CoJn p7i <br /> D/? 6a4vkik. <br /> r. <br /> How did you find out about the program(s)? / /I(1.,fl <br /> Thank you, ) _A- / / <br /> (Signature) <br />